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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

SENTARA VIRGINIA BEACH GENERAL HOSPITAL

Virginia Beach, VA · CCN 490057 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc

This hospital’s price: $12,747 across 5 payers · range $5,509-$19,835

Source: https://www.sentara.com/Documents/s/sentaravirginiabeachgeneralhospitalstandardchargesxlsx-1395265 · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

12,438 distinct procedures filed
16 distinct payers
137,232 rate rows
2026-04-01 last MRF observed
Data quality

101,062 of 137,232 rate rows are consumer-grade (73.6%)

36,170 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 36,162
placeholder amount (≤ $0.02) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.sentara.com/Documents/s/sentaravirginiabeachgeneralhospitalstandardchargesxlsx-1395265
Found on page https://www.sentara.com/billing/estimating-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 448e3ac284ef78a2… · 37,841,821 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 4 $0.03 $4,730,250.00 $4,595,100.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $0.03 $3,869,530.00 $3,758,972.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $0.03 $3,482,285.72 $3,382,791.84 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $0.03 $3,410,868.00 $3,313,414.63 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $0.03 $3,093,027.00 $3,004,654.80 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $0.03 $2,577,866.14 $2,504,212.82 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $0.03 $2,448,600.00 $2,378,640.00 nat. median
$2,405,851
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $313,537.34 $1,270,437.98 $816,457.20 nat. median
$370,165
outlier · 2.2×
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $0.03 $809,151.00 $786,032.40 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $0.03 $621,312.51 $603,560.73 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $0.03 $594,162.39 $577,186.32 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $0.03 $590,665.09 $573,788.95 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $0.03 $585,183.83 $568,464.29 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $0.03 $559,891.68 $543,894.77 nat. median
$588,565
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $203,691.90 $824,463.14 $529,847.88 nat. median
$261,939
outlier · 2.0×
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $0.03 $513,769.84 $499,090.70 nat. median
$577,541
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $155,334.66 $628,131.71 $403,673.90 nat. median
$205,166
2.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $154,426.70 $624,445.38 $401,304.86 nat. median
$199,832
outlier · 2.0×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $0.03 $911,549.74 $289,032.19 nat. median
$302,242
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $609.31 $424,920.69 $268,786.41 nat. median
$132,706
outlier · 2.0×
7
MS_DRG 		Lung Transplant 5 $94,463.84 $380,994.88 $244,849.43 nat. median
$122,690
2.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 2 $165,911.99 $260,702.39 $235,580.32 nat. median
$83,623
outlier · 2.8×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 5 $87,708.15 $353,566.62 $227,222.44 nat. median
$114,305
2.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $82,736.48 $333,381.56 $214,250.34 nat. median
$108,240
2.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 5 $82,642.28 $332,999.10 $214,004.55 nat. median
$96,134
outlier · 2.2×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $79,419.86 $319,916.02 $205,596.61 nat. median
$100,978
outlier · 2.0×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $143,354.52 $225,257.17 $203,550.71 nat. median
$58,534
outlier · 3.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $8,814.12 $324,243.70 $200,585.84 nat. median
$96,835
outlier · 2.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $75,335.87 $303,334.91 $193,043.49 nat. median
$99,646
1.9× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $132,731.09 $208,564.26 $188,466.38 nat. median
$51,048
outlier · 3.7×
215
MS_DRG 		Other Heart Assist System Implant 5 $29,938.19 $292,934.94 $186,424.91 nat. median
$98,002
1.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $71,512.02 $287,809.98 $184,963.40 nat. median
$92,900
2.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $124,176.55 $195,122.27 $176,319.70 nat. median
$62,767
outlier · 2.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $65,909.20 $265,062.43 $170,344.51 nat. median
$81,124
outlier · 2.1×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $119,844.05 $188,314.48 $170,167.93 nat. median
$46,826
outlier · 3.6×
A9543
HCPCS 		Y90 Ibritumomab, Rx 4 $57,961.04 $186,157.78 $165,938.79 nat. median
$63,643
outlier · 2.6×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $61,516.52 $360,615.16 $163,067.97 nat. median
$80,459
outlier · 2.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $32,971.95 $254,762.49 $162,928.49 nat. median
$81,364
outlier · 2.0×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $114,515.48 $179,941.55 $162,601.84 nat. median
$57,648
outlier · 2.8×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $27,250.05 $248,007.66 $158,608.57 nat. median
$79,040
outlier · 2.0×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $30,245.39 $231,500.10 $148,051.47 nat. median
$77,385
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $56,262.24 $225,895.59 $145,173.62 nat. median
$74,472
1.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $14,654.03 $224,921.78 $143,844.44 nat. median
$73,475
2.0× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $97,709.72 $153,534.15 $138,739.14 nat. median
$40,712
outlier · 3.4×
10
MS_DRG 		Pancreas Transplant 5 $52,620.27 $211,109.09 $135,670.96 nat. median
$67,750
outlier · 2.0×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 5 $52,598.53 $211,020.83 $135,614.24 nat. median
$62,911
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $7,447.40 $212,371.21 $135,153.85 nat. median
$66,640
outlier · 2.0×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $52,322.45 $209,899.93 $134,893.88 nat. median
$69,153
2.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $45,884.82 $224,177.46 $134,696.97 nat. median
$71,485
1.9× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $94,695.32 $148,797.53 $134,458.95 nat. median
$45,104
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 12,438 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 7 4 — — $0.03 $4,730,250.00 $4,595,100.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 4 — — $0.03 $3,869,530.00 $3,758,972.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 4 — — $0.03 $3,482,285.72 $3,382,791.84 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 4 — — $0.03 $3,410,868.00 $3,313,414.63 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 4 — — $0.03 $3,093,027.00 $3,004,654.80 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 4 — — $0.03 $2,577,866.14 $2,504,212.82 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 4 — — $0.03 $2,448,600.00 $2,378,640.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 5 — — $313,537.34 $1,270,437.98 $816,457.20 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 7 4 — — $0.03 $809,151.00 $786,032.40 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 4 — — $0.03 $621,312.51 $603,560.73 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 7 4 — — $0.03 $594,162.39 $577,186.32 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 4 — — $0.03 $590,665.09 $573,788.95 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 7 4 — — $0.03 $585,183.83 $568,464.29 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 4 — — $0.03 $559,891.68 $543,894.77 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 5 — — $203,691.90 $824,463.14 $529,847.88 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 7 4 — — $0.03 $513,769.84 $499,090.70 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 5 — — $155,334.66 $628,131.71 $403,673.90 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 5 — — $154,426.70 $624,445.38 $401,304.86 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 4 — — $0.03 $911,549.74 $289,032.19 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 5 — — $609.31 $424,920.69 $268,786.41 2026-04-01
7 MS_DRG Lung Transplant 13 5 — — $94,463.84 $380,994.88 $244,849.43 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 2 — — $165,911.99 $260,702.39 $235,580.32 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 13 5 — — $87,708.15 $353,566.62 $227,222.44 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 5 — — $82,736.48 $333,381.56 $214,250.34 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 13 5 — — $82,642.28 $332,999.10 $214,004.55 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 5 — — $79,419.86 $319,916.02 $205,596.61 2026-04-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 2 — — $143,354.52 $225,257.17 $203,550.71 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 5 — — $8,814.12 $324,243.70 $200,585.84 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 5 — — $75,335.87 $303,334.91 $193,043.49 2026-04-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 2 — — $132,731.09 $208,564.26 $188,466.38 2026-04-01
215 MS_DRG Other Heart Assist System Implant 17 5 — — $29,938.19 $292,934.94 $186,424.91 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 5 — — $71,512.02 $287,809.98 $184,963.40 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 2 — — $124,176.55 $195,122.27 $176,319.70 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 5 — — $65,909.20 $265,062.43 $170,344.51 2026-04-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 2 — — $119,844.05 $188,314.48 $170,167.93 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 10 4 — — $57,961.04 $186,157.78 $165,938.79 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 5 — — $61,516.52 $360,615.16 $163,067.97 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 14 5 — — $32,971.95 $254,762.49 $162,928.49 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 2 — — $114,515.48 $179,941.55 $162,601.84 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 5 — — $27,250.05 $248,007.66 $158,608.57 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 5 — — $30,245.39 $231,500.10 $148,051.47 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 5 — — $56,262.24 $225,895.59 $145,173.62 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 5 — — $14,654.03 $224,921.78 $143,844.44 2026-04-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 2 — — $97,709.72 $153,534.15 $138,739.14 2026-04-01
10 MS_DRG Pancreas Transplant 13 5 — — $52,620.27 $211,109.09 $135,670.96 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 5 — — $52,598.53 $211,020.83 $135,614.24 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 5 — — $7,447.40 $212,371.21 $135,153.85 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 5 — — $52,322.45 $209,899.93 $134,893.88 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 21 6 — — $45,884.82 $224,177.46 $134,696.97 2026-04-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 2 — — $94,695.32 $148,797.53 $134,458.95 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 5 — — $47,941.42 $209,776.37 $133,502.48 2026-04-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 2 — — $94,002.57 $147,708.99 $133,475.31 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 20 5 — — $28,305.15 $351,091.79 $130,045.51 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 5 — — $50,462.33 $202,347.82 $130,040.46 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 5 — — $49,398.58 $198,028.96 $126,645.65 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 5 — — $28,403.70 $196,716.83 $125,806.50 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 5 — — $23,271.99 $196,572.67 $125,099.60 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 5 — — $48,269.61 $193,445.33 $124,319.20 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 5 — — $48,269.61 $193,445.33 $124,319.20 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 5 — — $48,096.43 $192,742.19 $123,867.32 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 2 — — $86,230.65 $135,496.75 $122,439.88 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 5 — — $45,031.26 $180,297.53 $115,869.66 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 5 — — $44,979.81 $180,088.65 $115,735.42 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 5 — — $44,554.45 $178,361.69 $114,625.58 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 19 5 — — $7,456.01 $189,308.87 $113,746.19 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 5 — — $41,780.36 $176,714.17 $113,566.79 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 14 5 — — $40,386.69 $176,764.19 $113,046.16 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 5 — — $43,691.42 $174,857.77 $112,373.75 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 13 5 — — $43,591.42 $174,451.77 $112,112.84 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 5 — — $40,257.43 $175,434.40 $111,647.12 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 5 — — $43,148.67 $172,654.21 $110,957.62 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 5 — — $39,490.83 $172,542.42 $110,346.21 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 17 5 — — $37,088.97 $275,309.98 $109,265.48 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 5 — — $38,150.66 $169,668.08 $108,507.99 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 5 — — $41,976.96 $167,897.00 $107,900.36 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 5 — — $41,235.66 $164,887.33 $105,966.17 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 6 — — $27,863.50 $200,731.21 $105,923.68 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 5 — — $291.57 $165,399.24 $105,260.71 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 5 — — $40,957.41 $163,757.60 $105,240.14 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 5 — — $8,296.10 $162,486.66 $103,915.24 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 5 — — $40,145.10 $160,459.62 $103,120.67 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 5 — — $8,914.75 $160,712.63 $102,780.70 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 13 5 — — $39,987.13 $159,818.27 $102,708.50 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 5 — — $28,279.06 $160,942.11 $102,424.17 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 14 5 — — $38,277.73 $152,878.09 $100,836.14 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 5 — — $20,306.37 $156,890.98 $100,336.63 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 5 — — $34,849.18 $156,796.83 $99,786.10 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 5 — — $38,983.52 $155,743.60 $99,115.82 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 2 — — $68,486.86 $107,615.42 $97,245.27 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 5 — — $35,605.64 $155,228.75 $95,412.26 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 5 — — $37,145.87 $148,282.68 $95,295.06 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 6 — — $1,291.49 $146,729.31 $93,837.93 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 5 — — $12,277.78 $145,552.51 $93,085.33 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 13 5 — — $36,138.63 $144,193.30 $92,666.99 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 5 — — $35,438.66 $144,796.41 $92,148.99 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 5 — — $35,121.26 $140,062.74 $90,012.45 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 27 6 — — $14,035.40 $148,425.17 $89,961.14 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 5 — — $33,477.50 $141,342.51 $89,950.91 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 15 5 — — $33,440.85 $133,240.24 $89,788.00 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 13 5 — — $34,690.83 $138,315.19 $88,889.37 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 5 — — $34,519.82 $137,620.88 $88,443.16 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 13 5 — — $34,224.17 $136,420.54 $87,671.76 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 5 — — $22,724.70 $134,884.82 $86,684.81 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 5 — — $32,319.88 $135,876.27 $86,472.18 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 6 — — $29,673.39 $229,747.53 $86,012.61 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 5 — — $10,691.85 $133,822.75 $85,417.65 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 17 5 — — $9,805.98 $142,060.35 $85,356.93 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 24 6 — — $11,156.71 $518,622.39 $84,223.21 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 17 5 — — $232.44 $131,854.56 $83,912.74 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 5 — — $27,692.11 $131,816.31 $83,888.40 2026-04-01
245 MS_DRG Aicd Generator Procedures 16 5 — — $776.71 $134,225.81 $83,035.68 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 23 5 — — $31,713.85 $138,032.76 $82,936.95 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 5 — — $29,962.72 $131,298.52 $81,224.78 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 5 — — $31,730.73 $126,297.12 $80,770.92 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 6 — — $28,243.28 $155,052.43 $80,180.81 2026-04-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 2 — — $56,352.49 $88,548.32 $80,015.53 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 13 5 — — $31,173.50 $124,034.72 $79,711.91 2026-04-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 2 — — $56,082.87 $88,124.67 $79,632.71 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 13 5 — — $31,032.92 $123,463.97 $79,345.12 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 5 — — $30,976.39 $123,234.50 $79,197.64 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 6 — — $27,584.53 $123,611.07 $79,053.10 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 6 — — $29,059.95 $129,236.18 $78,676.46 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 5 — — $29,241.52 $122,757.89 $78,123.59 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 15 5 — — $30,837.26 $122,669.63 $78,067.42 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 5 — — $15,303.33 $122,181.26 $77,756.62 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 16 5 — — $5,286.91 $125,485.13 $77,628.46 2026-04-01
791 MS_DRG Prematurity With Major Problems 13 5 — — $30,035.83 $119,415.78 $76,743.51 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 13 5 — — $29,493.09 $117,212.22 $75,327.38 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 5 — — $28,629.33 $113,705.36 $74,998.38 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 5 — — $29,362.44 $124,246.54 $74,673.77 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 5 — — $26,388.78 $246,936.66 $74,118.32 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 5 — — $28,969.91 $115,088.10 $73,962.29 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 13 5 — — $28,841.64 $114,567.36 $73,627.64 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 5 — — $27,037.12 $118,283.11 $73,115.03 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 5 — — $10,219.36 $123,972.94 $72,989.99 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 5 — — $21,262.11 $121,372.21 $72,926.46 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 5 — — $27,523.82 $113,875.99 $72,827.22 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 5 — — $27,552.06 $117,736.20 $72,648.48 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 5 — — $7,708.96 $185,504.23 $71,953.21 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 5 — — $26,795.30 $131,804.39 $71,885.66 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 10 4 — — $24,712.99 $79,372.54 $70,751.72 2026-04-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 2 — — $49,737.65 $78,154.23 $70,623.05 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 21 5 — — $25,117.86 $168,688.98 $70,454.65 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 5 — — $193.82 $109,951.37 $70,317.30 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 1 1 — — $70,298.32 $70,298.32 $70,298.32 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 5 — — $7,435.05 $110,224.97 $70,147.59 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 5 — — $10,684.67 $109,642.46 $70,119.74 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 13 5 — — $27,476.44 $109,024.64 $70,065.56 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 5 — — $25,298.64 $109,963.13 $69,980.96 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 13 5 — — $27,239.50 $108,062.60 $69,447.30 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 13 5 — — $26,896.02 $106,668.09 $68,551.11 2026-04-01
332 MS_DRG Rectal Resection With Mcc 13 5 — — $26,859.79 $106,520.99 $68,456.57 2026-04-01
265 MS_DRG Aicd Lead Procedures 13 5 — — $26,841.68 $106,447.44 $68,409.31 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 5 — — $26,916.31 $106,750.47 $68,270.23 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 5 — — $26,756.17 $106,100.29 $68,186.20 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 5 — — $25,344.59 $100,369.27 $67,901.07 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 5 — — $25,893.86 $102,599.31 $67,672.99 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 13 5 — — $26,460.52 $104,899.95 $67,414.80 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 5 — — $24,379.31 $105,405.98 $67,410.38 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 13 5 — — $26,438.78 $104,811.69 $67,358.08 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 13 5 — — $26,414.14 $104,711.66 $67,293.79 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 5 — — $26,303.68 $105,161.79 $66,925.36 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 13 5 — — $26,125.74 $103,540.75 $66,541.30 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 7 4 — — $64,609.13 $204,882.29 $66,509.40 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 5 — — $23,326.36 $102,128.59 $65,314.39 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 5 — — $23,702.78 $105,055.88 $64,990.38 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 5 — — $25,540.25 $101,163.61 $64,697.26 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 5 — — $16,752.64 $101,634.33 $64,680.48 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 10 5 — — $5,220.00 $201,054.17 $63,749.82 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 19 5 — — $8,733.58 $102,625.79 $63,203.11 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 5 — — $23,116.92 $104,626.35 $62,864.72 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 13 5 — — $24,559.83 $97,183.09 $62,455.49 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 5 — — $24,007.66 $94,941.28 $62,347.88 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 5 — — $6,710.33 $100,236.88 $62,009.22 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 15 5 — — $21,612.21 $96,853.58 $61,637.99 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 5 — — $23,408.76 $95,697.38 $61,201.43 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 10 5 — — $5,220.00 $138,244.00 $61,104.13 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 10 5 — — $5,220.00 $138,244.00 $61,104.13 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 10 5 — — $5,220.00 $138,244.00 $61,104.13 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 10 5 — — $5,220.00 $138,244.00 $61,104.13 2026-04-01
652 MS_DRG Kidney Transplant 13 5 — — $24,025.05 $95,011.89 $61,060.16 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 5 — — $22,586.71 $103,752.57 $60,956.43 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 5 — — $21,540.11 $95,276.67 $60,932.38 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 13 5 — — $23,962.00 $94,755.94 $60,895.67 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 6 — — $7,008.47 $341,904.55 $60,864.64 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 16 5 — — $22,800.42 $98,280.45 $60,798.92 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 18 5 — — $21,002.57 $95,038.37 $60,779.97 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 5 — — $18,438.57 $94,449.97 $60,403.68 2026-04-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 3 2 — — $42,295.26 $66,459.78 $60,055.52 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 5 — — $149.33 $96,841.81 $59,908.94 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 5 — — $23,647.52 $93,479.11 $59,782.78 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 17 5 — — $22,253.71 $92,967.20 $59,746.12 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 13 5 — — $23,391.73 $92,440.58 $59,407.68 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 15 5 — — $23,556.22 $93,108.42 $59,254.55 2026-04-01
665 MS_DRG Prostatectomy With Mcc 13 5 — — $23,240.28 $91,825.70 $59,012.53 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 14 6 — — $22,507.69 $88,851.34 $58,605.04 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 5 — — $20,525.99 $91,634.47 $58,603.08 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 16 6 — — $21,420.89 $91,472.66 $58,499.60 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 5 — — $22,893.96 $108,018.47 $58,288.12 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 7 4 — — $56,377.77 $180,705.48 $58,035.94 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 16 5 — — $20,300.71 $93,758.60 $58,001.58 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 5 — — $15,389.18 $100,863.53 $57,731.67 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 16 5 — — $21,961.18 $92,658.29 $57,594.98 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 15 5 — — $22,510.58 $88,863.11 $57,359.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 18 5 — — $21,863.46 $92,702.42 $57,348.20 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 15 5 — — $11,939.13 $90,069.33 $57,320.46 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 22 6 — — $22,068.59 $93,667.40 $57,156.51 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 5 — — $18,061.95 $88,754.26 $56,483.55 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 5 — — $3,092.43 $93,932.18 $56,439.13 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 13 5 — — $22,191.02 $87,565.69 $56,274.79 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 13 5 — — $21,956.97 $86,615.42 $55,664.10 2026-04-01
570 MS_DRG Skin Debridement With Mcc 14 5 — — $152.53 $86,527.16 $55,336.80 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 18 5 — — $7,149.48 $89,236.74 $55,204.24 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 20 6 — — $20,180.73 $86,674.26 $55,086.92 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 17 5 — — $21,075.54 $85,376.84 $54,868.11 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 9 4 — — $22,136.77 $71,098.32 $54,777.00 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 9 4 — — $22,136.77 $71,098.32 $54,777.00 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 9 4 — — $22,136.77 $71,098.32 $54,777.00 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 9 4 — — $43,834.99 $140,788.09 $54,777.00 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 9 4 — — $31,238.15 $100,329.89 $54,777.00 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 9 4 — — $22,136.77 $71,098.32 $54,777.00 2026-04-01
0100T OTHER Prosth Retina Receive&Gen 3 2 — — $13,700.00 $60,970.00 $54,777.00 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 9 4 — — $22,136.77 $71,098.32 $54,777.00 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 9 4 — — $31,238.15 $100,329.89 $54,777.00 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 9 4 — — $31,238.15 $100,329.89 $54,777.00 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 15 5 — — $21,069.14 $85,906.40 $54,671.16 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 13 5 — — $21,546.10 $84,947.31 $54,592.07 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 13 5 — — $21,505.53 $84,782.56 $54,486.19 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 5 — — $18,890.72 $85,323.88 $54,300.44 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 18 5 — — $21,139.35 $98,025.95 $54,300.09 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 16 5 — — $11,920.56 $83,861.71 $53,632.15 2026-04-01
800 MS_DRG Splenic Procedures With Cc 15 5 — — $8,842.28 $82,652.55 $53,117.33 2026-04-01
503 MS_DRG Foot Procedures With Mcc 13 5 — — $20,848.29 $82,114.16 $52,771.33 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 14 5 — — $19,667.24 $82,355.41 $52,668.83 2026-04-01
263 MS_DRG Vein Ligation And Stripping 18 5 — — $8,946.43 $89,948.71 $51,920.14 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 15 5 — — $16,351.24 $81,549.30 $51,898.28 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 23 6 — — $13,057.15 $179,782.76 $51,463.91 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 28 6 — — $8,553.01 $80,045.94 $51,191.85 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 19 6 — — $5,109.87 $80,428.40 $51,184.94 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 13 5 — — $20,169.31 $79,357.51 $50,999.74 2026-04-01
849 MS_DRG Radiotherapy 18 5 — — $19,677.66 $79,713.49 $50,979.24 2026-04-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 3 2 — — $35,751.57 $56,177.49 $50,764.06 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 17 5 — — $18,718.21 $84,441.28 $50,736.53 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 5 — — $18,070.35 $79,616.40 $50,668.18 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 13 5 — — $19,898.30 $78,257.20 $50,292.62 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 18 5 — — $16,757.77 $81,113.88 $50,179.22 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 13 5 — — $19,830.91 $77,983.59 $50,116.78 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 5 — — $5,220.00 $140,788.09 $49,950.62 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 13 5 — — $19,734.53 $77,592.31 $49,865.32 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 13 5 — — $19,312.80 $75,880.06 $48,764.93 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 14 5 — — $17,512.09 $75,985.98 $48,595.38 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 17 5 — — $11,285.82 $80,846.16 $48,576.40 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 17 5 — — $17,055.49 $97,165.91 $48,539.38 2026-04-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 3 2 — — $34,014.07 $53,447.31 $48,296.97 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 1 — — $45,642.00 $50,815.00 $48,228.50 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 1 — — $45,642.00 $50,815.00 $48,228.50 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 14 5 — — $17,096.08 $75,109.26 $48,034.69 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 15 5 — — $18,289.87 $74,256.08 $47,721.27 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 19 5 — — $10,919.14 $85,679.87 $47,701.67 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 16 5 — — $18,252.52 $74,223.72 $47,468.37 2026-04-01
J9226 HCPCS Supprelin La Implant 7 4 — — $45,921.06 $147,160.06 $47,271.68 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 13 5 — — $18,680.21 $73,311.70 $47,114.35 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 20 6 — — $1,843.55 $76,362.55 $46,881.21 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 16 5 — — $17,617.61 $75,538.79 $46,790.67 2026-04-01
509 MS_DRG Arthroscopy 3 2 — — $32,886.95 $51,676.23 $46,696.55 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 14 5 — — $15,667.62 $73,011.61 $46,693.18 2026-04-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 26 6 — — $15,887.27 $85,601.25 $46,684.11 2026-04-01
783 MS_DRG Cesarean Section With Sterilization With Mcc 13 5 — — $18,413.54 $72,229.04 $46,418.58 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 20 5 — — $5,233.64 $92,994.00 $46,256.68 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 13 5 — — $18,334.56 $71,908.36 $46,212.49 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 19 5 — — $15,675.75 $71,823.05 $46,157.66 2026-04-01
792 MS_DRG Prematurity Without Major Problems 14 5 — — $18,370.79 $72,055.46 $46,081.69 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 15 5 — — $15,700.27 $72,349.66 $46,043.60 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 13 5 — — $18,175.14 $71,261.12 $45,796.54 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 3 2 — — $5,220.00 $50,815.00 $45,642.00 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 9 4 — — $18,243.62 $58,594.38 $45,642.00 2026-04-01
37231 HCPCS Tib/per Revasc Stent & Ather 3 2 — — $5,220.00 $50,815.00 $45,642.00 2026-04-01
33968 HCPCS Remove Aortic Assist Device 3 2 — — $5,220.00 $50,815.00 $45,642.00 2026-04-01
33967 HCPCS Insert I-aort Percut Device 3 2 — — $5,220.00 $50,815.00 $45,642.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 9 4 — — $30,709.54 $98,632.10 $45,642.00 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 9 4 — — $18,243.62 $58,594.38 $45,642.00 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 9 4 — — $18,243.62 $58,594.38 $45,642.00 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 9 4 — — $17,047.24 $54,751.88 $45,642.00 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 9 4 — — $30,709.54 $98,632.10 $45,642.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 9 4 — — $30,709.54 $98,632.10 $45,642.00 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 9 4 — — $17,047.24 $54,751.88 $45,642.00 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 17 5 — — $15,559.07 $75,880.06 $45,592.52 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 15 5 — — $5,944.90 $71,028.71 $45,202.94 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 22 5 — — $16,616.41 $124,646.81 $45,079.76 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 16 5 — — $15,619.83 $70,457.96 $45,060.04 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 4 — — $31,697.00 $140,788.09 $45,016.81 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 14 5 — — $16,140.97 $70,328.51 $44,977.26 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 21 6 — — $17,526.63 $74,753.28 $44,915.49 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 22 6 — — $14,840.93 $89,656.07 $44,884.89 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 21 5 — — $15,323.93 $70,207.89 $44,680.57 2026-04-01
333 MS_DRG Rectal Resection With Cc 13 5 — — $17,595.44 $68,907.52 $44,283.98 2026-04-01
69930 HCPCS Implant Cochlear Device 10 5 — — $10,181.00 $105,390.54 $44,277.96 2026-04-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 13 5 — — $17,557.04 $68,751.60 $44,183.77 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 15 5 — — $9,549.54 $69,169.36 $44,019.65 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 16 5 — — $15,629.14 $68,801.61 $44,000.76 2026-04-01
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